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Melanie J Proud, PA
Surgical Physician Assistant in Rochester, New York
NPI 1043312713

Melanie J Proud is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. Melanie J Proud practices in Rochester, NY and has the professional credentials of PA. The NPI Number for Melanie J Proud is 1043312713 and holds a License No. 007304 (New York).

The current practice location address for Melanie J Proud is 1425 Portland Ave, Rochester, NY and can be reached out via phone at 585-922-4000.

Location: 1425 Portland Ave, Rochester, NY, 14621-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043312713
Provider Name
Melanie J Proud
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1425 Portland Ave, Rochester, NY, 14621-3001
Phone Number
585-922-4000
Fax Number
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00302881 01 NY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
007304 (New York)
Definition
Definition to come...
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